FDA Adverse Event
Injury
Summary report: N
GUM CRAYOLA FLOSSER
MDR report key: 13047902
·
Received December 20, 2021
Report
- Report Number
- 0001413787-2021-00018
- Event Type
- Injury
- Date Received
- December 20, 2021
- Date of Event
- May 14, 2019
- Report Date
- May 14, 2019
- Manufacturer
- SUNSTAR AMERICAS, INC.
- Product Code
- JES
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- VA, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 0
WE RECENTLY STARTED USING THE GUM CRAYOLA KIDS FLOSSERS AND TONIGHT, MY (B)(6) SOMEHOW GOT ONE OF THE FLOSSERS COMPLETELY INSIDE HER MOUTH AND INTO HER THROAT, AND SHE WAS CHOKING ON IT. LUCKILY SHE COUGHED IT OUT AND IT CAME OUT OF HER THROAT/MOUTH WHEN SHE PUKED FROM CHOCKING ON IT AND SHE IS OKAY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1940880 | GUM CRAYOLA FLOSSER | FLOSSER | JES | SUNSTAR AMERICAS, INC. | 897RZ |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 3 YR | Female | Other |